Organization Active NPI

My Optical Life

  • Optician
  • Grand Blanc, MI
National Provider Identifier
1003346651
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
MY OPTICAL LIFE
Doing business as
My Optician
Practice address
7500 Fenton Rd
Grand Blanc, MI 48439-7510
Phone
(810) 771-4064
Fax
(810) 771-4095
NPI assigned
Jun 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Abraham F Cureton, ABOC OPTICIAN
Title
Owner
Phone
(810) 771-4064

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Technician/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 156FC0800X MI
Ophthalmic Technician/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1100X MI
Optometric Assistant TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1201X MI
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X MI Primary
Eyewear Supplier 332H00000X MI

Addresses

Primary practice location

7500 Fenton Rd
Grand Blanc, MI 48439-7510

Mailing address

7500 Fenton Rd
Grand Blanc, MI 48439-7510
Phone (810) 771-4064

Other names 1

  • My Optician Doing business as

National Provider Directory

National Provider Directory

Locations

3253 S Linden Rd
Flint, MI 48507

7500 Fenton Rd
Grand Blanc, MI 48439
Phone (810) 771-4064

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003346651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 FENTON RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397510",
            "telephone_number": "810-771-4064",
            "fax_number": "810-771-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 FENTON RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397510",
            "telephone_number": "810-771-4064",
            "fax_number": "810-771-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY OPTICAL LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CURETON",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-771-4064",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Assistant",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Optician",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.